International Clinical Fellowship Programme in Anaesthesia

at  Northampton General Hospital NHS Trust

This 24-month program offers training and development under the supervision of a leading consultant and an educational supervisor. Successful applicants will have regular supervised clinical sessions in the chosen anaesthetic subspecialty.
The first 1-2 months will include an acclimatisation period and introduce fellows to working in the NHS; it will provide an introduction to anaesthesia services in the UK during which the fellow will be expected to achieve the competencies that allow them to then participate on the on-call rota. During the remainder of the first year the post-holder will rotate through different specialty theatres and can be expected to become competent in the performance, trouble shooting and innovation in general anaesthesia and their chosen specialist area. Upon completing 18 months the post holder will be expected to achieve competencies as expected for a senior trainee matching the Royal College of Anaesthetist curriculum for advanced training (Training programme).

All fellows will be required to enrol themselves as trainee doctors with Royal college of Anaesthetist. Registering to the RCoA online training portfolio will be essential for recording of clinical and non-clinical skill competencies which is structured to reflect the RCoA training curriculum.

• Provide Anaesthesia independently when appropriate and Under supervision.
• Participate in out of hours service rota for Anaesthesia in theatres, obstetrics and ITU.
• Engage in training opportunities especially during elective surgical activity.
• Engage with Educational/clinical supervisor to ensure training, education and service requirements are met and supported.

An evaluation is undertaken every three months to track progress based upon which with increasing levels of responsibilities will be assigned both for on calls and routine operating theatre sessions. As well as gaining clinical skills, the fellowship scheme will provide the opportunity to develop a range of transferable skills such as:

• Leadership
• Management
• Developing guidelines
• Conducting audit and research
• Understanding clinical governance

Northampton General Hospital is one of the largest employers in the area and we are on an exciting journey. All of our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered into a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust and become University Hospitals of Northamptonshire.
Our Excellence Values
Compassion
Accountability
Respect
Integrity
Courage
We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone’s full potential. As an organisation, we value how we communicate and promote our vacancies to all communities.
We are a Defence positive trust, supporting our reservists, veterans, spouses and partners.
The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ+ backgrounds as these are underrepresented in our hospitals.
We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative.
We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals.
Please see the additional document for more information on working for TACC at Northampton General Hospital
Training Aims
To develop the knowledge, skills and attitudes and workplace training objectives in regional anaesthesia equivalent to a higher/ advanced level trainee in anaesthesia.

Training Objectives

• To acquire an in-depth knowledge and understanding of the management of a wide variety of anaesthesia techniques and its applicability across different specialties and in the management of complex patients.
• To acquire specialist skills in the regional anaesthesia including
• Single shot ultrasound guided blocks
• Continuous catheter techniques and their safe management in a wide range of locations, indications, regimes, kits
• Advanced postoperative pain management
• Vascular anaesthesia. Open and endovascular repair of aneurysms, Management of acutely ill acute limb recircularization and specialist vascular MDT
• General and high-risk obstetric anaesthesia
• Airway endo-surgery with advanced management of difficult airway surgery
• Commencing quality improvement projects and also local audit projects
• Development of clinical guidelines for the safe performance of anaesthesia
• Acquire knowledge to pass the |FRCA exam
• Involved in teaching & training other juniors and also supporting consultant colleagues.
• Participate as faculty in local and national courses
• To acquire management, communication and team working skills to allow them to work flexibly and effectively both in and outside the theatres with a multidisciplinary pain team of varying makeup.
• To develop communication skills with, patients, relatives and members of the multi-disciplinary team & to understand the concept and legality of consent relevant to regional anaesthesia.

Supervision
The overall responsibility for the trainee will rest with the College Tutors & the Fellowship and Programme directors.
Assessment
Assessments will be carried out at 0, 3 and 6 months and will contribute to summative assessment in the trainee’s annual appraisal. 360-degree appraisal techniques will also be used.
Worked Based Assessment
The tools that are in place for UK anaesthesia trainee assessments (DOPS, CEX and CPD) will be used where appropriate. In addition, the fellow will be expected to complete syllabus-based workplace assessment forms and present monthly case reports to the supervising consultant. They will be expected to contribute to weekly teaching sessions and a monthly journal club.
Fellows are required to keep a logbook following the requirements laid down by the Faculty of the Royal College of Anaesthetists.
Audit and Research
All International Fellow after the initial acclimatisation period will be encouraged to register audit and quality improvement projects with audit leads. Fellows are also encouraged to discuss potential research projects with the R&D within NGH
Teaching
There are weekly protected teaching sessions, journal club audits are built into the timetable. The fellows are expected to run tea table -training for other juniors and consultants.
The post holder will be supported in endeavouring in any of the relevant UK examinations they are eligible for. Study leave conforms to terms/conditions of service for Trust doctors.
Support during your placement
All international fellows will receive the same specialty anaesthesia training as UK trainees. The Trust will arrange annual appraisals to review their development and the requirements for GMC registered and licensed doctors.
Each fellow will have an educational supervision in the form from a named senior specialist consultant/specialty doctor and will be expected to meet with them to discuss progress on a 3 monthly basis. Educational supervisor will oversee your training with regular contact from the RCOA

• Leadership
• Management
• Developing guidelines
• Conducting audit and research
• Understanding clinical governanc